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The nursing process

The Medical Process is about the nurse getting to know the patient as a whole person rather than only a patient with a sickness.

The Medical Process provides specific nursing good care that focuses on genuine or potential modifications to health (Richards & Edwards 2008).

It is approximately planning and creating the needs of the patient and helping to deliver these needs through planning and implementation. It does not only help the individual but also any family members.

The Medical Process was released in to the UK in 1977. It originated in the 70s in the USA and was founded to help train students a holistic approach to caution (Physical, Intellectual, Emotional and Religious PIES) (Hilton Penelope A 2004).

There are four steps to the procedure although individual entities they aren't individual and each one overlaps with the other and can be reassessed on a continuing basis. The four steps are Assess, Plan, Implementation and Evaluate.

The Nursing Process has four steps to it as stated above. Lets look at each one subsequently:-

Assessment stage is approximately collecting as much information about the individual from as much different sources as it can be. Information will come from the patient themselves, family/carer, GP, other Health associates and any past medical records. There are two different types of data which is often accumulated; Subjective data or symptoms is accumulated by the nurse from the individual and include feelings, worries or pain. Objective data or indicators is by means of a head to toe physical exam and general observation Castledine George 2004). Once all the relevant personal patient information has been en-gathered the nurse can move onto physical health information and can therefore set up the patient's health issues past and present. As the nurse is speaking to the patient, they might be establishing what is wrong with them, how much pain they are simply in and could it lead to an additional complication or can it be easily sorted out. The nurse would also be taking the patient's essential signs.

Planning stage is between your nurse and patient it is about setting goals that can be achieved, they can be short term or long-term. It is about setting the patient a task and also to see if this can be achieved within enough time level given.

Implementation can be between your nurse, patient and some other health care professionals. It is about putting the look and goals into action and hopefully getting the individual back on track and having the ability to deal with what is wrong with them and making small changes to help them progress.

Evaluation is to determine how effective the care has been and also to ascertain if the goals have been achieved. If a few of the goals never have been achieved its about going back through the medical good care plan and researching the dates and possibly changing some of the goals to try and problem solve anything that has not worked out the way it will have (Lloyd Helen et al, 2007).

The Nursing Model by Roper Logan & Tierney was introduced round the 1970s and later printed in 1980 in the "Components of Nursing". It offers subsequently been redefined and redeveloped and was unveiled into medical to help nurses go through the patient as a real person and not only a medical label (Nazarko Linda 2008).

Throughout its life the Nursing Model was improved to incorporate 12 Activities of Living; these would be the foundation of the medical model and would help nurses redefine what nursing was all about and recognize that the patient's health and ill-health are linked to their lifestyle and their life-style (Alexander et al, 2006).

Taking two Activities of Living; let us check out each one in turn.

Communication:- For the nurse to assemble information and create what is incorrect with the patient there should be good communication skills (Lloyd & Stephen 2007), along with speaking and the asking of open up and closed down questions; there has to be good hearing and observing skills. It is about the nurse and patient accumulating a good rapport and the nurse building up the trust of the individual. The environment in which they can be speaking needs to be private and since comfortable as you possibly can. There has to be esteem and the nurse must assure the patient of confidentiality. The nurse must use the correct language to see the info that she requires, do not use to much medical jargon of course, if the patient struggles to understand will the questions need to be written down or be in a different vocabulary altogether.

The use of wide open and shut down questions; available questions you start with who, what, where and just why are allowing the nurse and patient to talk and allowing the patient to discuss life and what is worrying them at the moment; and the nurse period to make any relevant observations about the patient.

The nurse must listen to the patient's answers but also make her own observations. Ask one question at a time and allow the individual period to answer. Be aware of your own body language and the patients, don't raise your voice unnecessarily and if there is a moment of silence this allows the patient time to take into account their own thoughts. Use attention contact, don't be quick the patient and be sympathetic and patient all the time. When looking to conclude the talk bring everything jointly and summarise any relevant points and ask the affected person if they're happy with what has been reviewed and if they have any final questions. Give thanks to them for his or her time and say that you will be back again to discuss anything further when required.

Maintaining a safe environment:- Considering the patient all together and educating the family and carers with the knowledge and understanding of what is required. Considering that there could be other people included ie other Health associates and taking onboard what they have to say and suggest.

Behaviour change does the patient need to have a much better and healthier diet program put in place; do they might need to get more exercise. If this is the case can the patient get on trips or do they require assistant to access and from the doctors or does the health visitor have to come to their house. Does the patient have every one of the relevant information at hand in order to accomplish these goals.

If the individual is allowed home the family/health treatment people have to make sure that the patient's home has a safe environment; the family have to make certain that there is very few objects throughout the house that the individual may trip over or bang into (Potter & Perry). Although the patient may have liked being in a healthcare facility and having people doing things for the kids; once it is time to allow them to go home there was a dread that they would not have the ability to cope and conclude back in clinic. Therefore getting them back home to familiar surroundings allows these to have privacy and safe practices. Allows them the freedom and flexibility to please themselves.

To summarise the Roper Logan & Tierney Model is one of the most trusted models in the Western world of Scotland. It offers nurses with a construction for en-gathering information and for that reason helps them supply the nursing attention and requirements that are required to meet the needs of the patient in this ever changing environment.

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